Increasing ambulance wait times and patient complexity have shifted the role of primary care in managing emergencies. 

In this episode of the Clinical Update podcast, GP and clinical lecturer Dr. Tim Sanders speaks to medical editor Sangeeta Krishnan about the need for extended stabilisation of a patient in primary care because of longer wait times for an ambulance, high-acuity low-occurrence (HALO) events (rare but life-threatening emergencies requiring immediate, expert intervention), and preparedness for emergencies in primary care.

Educational objectives

After listening to this podcast, healthcare professionals should be better able to:

• Evaluate the shifting role of primary care from recognising to managing emergencies
• Implement a structured airway, breathing, circulation, disability, exposure (ABCDE) primary survey to help identify and manage deteriorating patients
• Distinguish between HALO events and more common emergency presentations 
• Understand the ‘moral load’ and psychological effect  of managing high-risk situations for longer durations on clinical teams
• Empower administrative and reception staff to recognise clinical red flags and trigger emergency protocols effectively
• Use cognitive aids and checklists to reduce cognitive overload during high-pressure clinical scenarios

You can access the website version of this podcast, along with a list of key learning points, on MIMS Learning - and make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.

Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.

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